NR 501 Week 4 What Relationship(s) Do You Find Between Grand Nursing Theories and Clinical Practice?

NR 501 Week 4 What Relationship(s) Do You Find Between Grand Nursing Theories and Clinical Practice?

NR 501 Week 4 What Relationship(s) Do You Find Between Grand Nursing Theories and Clinical Practice?

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Connection Between Theory and Practice

Dorothea Orem’s Self-Care Deficit Nursing Theory

          The integrative theory that applies most to my clinical practice would be Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT). The SCDNT is commonly seen in rehabilitative nursing because it focuses on teaching patients to care for themselves by giving them the knowledge and means to do so. I currently work in an 80-bed inpatient rehabilitation hospital that is stroke certified through The Joint Commission. This theory applies most to my clinical practice because a large part of my job is treating patients with some form of a self-care deficit. Nursing patients who have been newly affected by a cerebrovascular accident (CVA) or stroke will require teaching and education on new techniques and methods regarding how to care for themselves following a stroke. Patients affected by stroke commonly have to relearn many basic activities of daily living (ADLs). Common ADLs are eating, dressing, getting in or out of bed, toileting, bathing or showering, preparing meals, managing money, shopping, doing housework, using a telephone, etc. Using Orem’s SCDNT as the foundation for nursing interventions geared towards stroke patients helps to empower patients to not only participate in their care but to recognize and respond to potential future strokes (Sposito et al., 2018). The SCDNT is comprised of four concepts (Smith, 2020). The concepts are the Theory of Self-Care, the Theory of Self-Care Deficit, the Theory of Nursing Systems, and finally the Theory of Dependent Care (Irshad-Ali, 2018). The Theory of Self-Care focuses on intentionally performing tasks by one’s self that are necessary for life, human functioning, and health (Smith, 2020). The Theory of Dependent care focuses on the patient being in a dependent position or relationship, like that of a child and a parent (Smith, 2020). The Theory of Self-Care Deficit described why people need nursing such as health-related shortcomings for comprehending, determining, and yielding care to one’s self (Smith, 2020). Finally, the Theory of Nursing Systems encompasses the other three theories and adds the interpersonal relationship between the nurse and the patient (Smith, 2020).

          One example of the application of the SCDNT is Ghani et al., (2019) description of a 62-year-old male patient affected by a CVA resulting in left hemiparesis and dysphagia. A holistic approach to the patient’s care was provided using the elements of the SCDNT. The care provided was based on creating a means for the patient to meet his own self-care needs. Using the SCDNT, the nurse was able to assist and care for the patient while supplying an environment appropriate for enriching the remaining self-care skills and nurturing the development of new ones (Ghani et al., 2019). All of this was achieved through nasogastric tube feeding to prevent dehydration or malnutrition, providing rest breaks during activities to reduce fatigue, checking vital signs frequently, providing aids for communication and means for orientation, teaching affected extremity self-positioning techniques, demonstrating the use of adaptive tools and techniques for ADLs, teaching stroke signs and symptoms, medication management and education, and collaborating with other departments such as physical therapy, occupational therapy, speech therapy, the dietician, and physician (Ghani et al., 2019). Despite attempting to teach stroke patients to care for themselves, some deficits may remain that they are unable to accomplish, which is known as dependency (Sposito et al., 2018). It was concluded that although the patient did not recover fully, he showed remarkable improvement and gradual development of the ability to care for himself, develop new skills, and prevent recurrent stroke (Ghani et al., 2019). This was all achieved through nursing care that was based on Dorothea Orem’s SCDNT.

References

Ghani, N., Suliman, M., & Fatima, A. (2019). Application of Orem’s nursing theory to a stroke patient: A case study. Journal of Saidu

          Medical College, 9(2), 273–277. https://doi.org/10.52206/jsmc.2019.9.2.

Irshad-Ali, B. H. (2018). Application of Orem self care deficit theory on psychiatric patient. Annals of Nursing and Practice, 5(1),

          1093–1095. https://www.researchgate.net/profile/Bibi-Hajira-Wali/publication/343125237_Central_Bringing_Excellence_in_

          Open_Access_Annals_of_Nursing_and_Practice_Application_of_Orem_Self_Care_Deficit_Theory_on_

          Psychiatric_Patient/links/5f17bc21a6fdcc9626a685df/Central-Bringing-Excellence-in-Open-Access-Annals-of-

          Nursing-and-Practice-Application-of-Orem-Self-Care-Deficit-Theory-on-Psychiatric-Patient.pdf

Smith, M. C. (2020). Nursing theories and nursing practice (5th ed.). F.A. Davis.

Sposito, J., Zipf, A., Alhowaymel, F., Almutairi, M., & Breda, K. (2018). Community-based stroke recognition education and response:

          An evidence-based intervention project. Creative Nursing, 24(4), 251–257. https://doi.org/10.1891/1078-4535.24.4.251

Hello Class,
Our Course Objectives (CO) for this week and corresponding MSN Program Objective (PO) are:
Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO #1)

Examine instances where theory is used to guide the development of new knowledge and implementation of evidence-based practice. (PO #6).

Grand theories are more abstract or general in nature and middle-range theories that are more specific in nature. What relationship(s) do you find between grand nursing theories and clinical practice? Provide one example that uses a specific grand theory to support your views.
I look forward to reading your examples!

For this week’s discussion, please answer this question:
What relationship(s) do you find between grand nursing theories and application to clinical practice? Provide one example that uses a specific grand range theory to support your views.

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Scholarly Resources:Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include:Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

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Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

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